AGA (Androgenetic Alopecia) Medications Can Be Prescribed at a Dermatology Clinic | Effects and Costs of Propecia, Zagallo, and Minoxidil

AGA（男性型脱毛症）の治療薬は皮膚科で処方できる｜プロペシア・ザガーロ・ミノキシジルの効果・費用

"I'm starting to worry about thinning hair," "I'd like to be checked for AGA," "I'd like a prescription for Propecia" — AGA treatment drugs can be prescribed not only by dermatologists and urologists, but also by internal medicine doctors. At our clinic, after a consultation and examination, we can prescribe Propecia, Zagarro, and Minoxidil.

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Jujo Station Haru Internal Medicine and Dermatology Clinic Waiting Area
Our clinic's waiting area. You can relax in a bright and clean space until your examination.

What is AGA?

AGA (Androgenetic Alopecia) is a progressive form of hair loss that occurs when DHT (dihydrotestosterone), a type of male hormone, acts on the dermal papilla, disrupting the hair cycle. It is said to affect approximately 30% of Japanese men, and if left untreated, it gradually progresses.

Feature

Content

Age of onset

Can start in 20s. Prevalence increases with age.

Progression pattern

Receding hairline (M-shape) / Thinning at the crown (O-shape) / or both (U-shape)

Cause

Genetic predisposition + influence of male hormones (DHT). DHT is converted from testosterone by 5α-reductase.

If left untreated

Progresses if not treated. Earlier treatment leads to better results.

Types and effects of treatment drugs

Drug Name

Ingredient

Action

Time to effect

Features

Finasteride (Propecia, etc.)

Finasteride

Inhibits 5α-reductase type II and suppresses DHT production

3-6 months

First-line treatment for AGA. Most widely used.

Dutasteride (Zagarro, etc.)

Dutasteride

Inhibits both 5α-reductase types I and II. More strongly suppresses DHT.

3-6 months

More potent than Propecia. For severe cases or when Propecia is insufficient.

Minoxidil (topical)

Minoxidil

Improves blood flow to the scalp and activates hair papilla to promote hair growth.

3-6 months

Synergistic effect when used with oral medication. Fewer systemic side effects as it is topical.

Minoxidil (oral)

Minoxidil

Higher hair growth effect than topical.

3-6 months

More effective than topical, but beware of side effects (swelling, palpitations).

Estimated Cost

Drug

Estimated Monthly Cost (Self-Pay)

Remarks

Finasteride (Generic)

7,900 yen

Generic for Propecia. Most affordable.

Dutasteride (Generic)

4,500 yen

Generic for Zagarro.

Oral Minoxidil

4,500 yen

Equivalent to generic for RiUP.

AGA treatment drugs are self-pay. Costs can be reduced by using generic medications. Initial consultation and follow-up fees are separate.

Frequently Asked Questions (FAQ)

Q. Can AGA be treated at an internal medicine clinic?

Yes, AGA treatment drugs can be prescribed by an internal medicine doctor. At our clinic, after a consultation and examination, we can prescribe finasteride, dutasteride, and minoxidil.

Q. Which is better, Propecia or Zagarro?

Generally, finasteride (Propecia) is started first, and if the effect is insufficient, it is often switched to dutasteride (Zagarro). Dutasteride is more potent but also more expensive.

Q. Can women also use AGA treatment drugs?

Finasteride and dutasteride cannot be used by women (especially those who are pregnant or may become pregnant). Female hair loss (FAGA) requires different treatment. Please consult us.

Q. When will I see results?

Generally, you will start to feel the effects in 3 to 6 months, and the maximum effect will appear in 1 year. If you stop taking the medication, the effect will disappear and hair loss will progress again, so continuous use is essential.

Reception
Reception. Cashless payment is also available.

Visit Flow

  1. Online reservation or walk-in
    If you have severe pain or fever, please contact us by phone. We will guide you through the process for your visit.
  2. Reception and filling out the medical questionnaire
    Please indicate when, where, what symptoms you have, the material of the piercing you are using, and any past piercing troubles.
  3. Doctor's examination
    The extent and severity of the inflammation will be determined by visual inspection and palpation. A bacterial culture test will be performed if necessary.
  4. Treatment and prescription
    Depending on the severity, treatments such as topical or oral antibiotics, disinfection, and incision and drainage will be performed.
  5. Guidance on home care
    We will carefully explain how to clean, disinfect, whether or not to remove piercings, and precautions in daily life.
  6. Payment and departure
    We will provide advice on the approximate time for your next visit and how to prevent recurrence.

Consultation Hours and Access

Item Content
Clinic Name Jujo Station Haru Internal Medicine and Dermatology Clinic
Consultation Hours Monday - Sunday, from 9 AM. Wednesdays until 8 PM, Fridays and Saturdays until 9 PM, Sundays until 7 PM.
Closed None (Irregular holidays)
Location J&MALL 1F, 2-27-1 Kamijujo, Kita-ku, Tokyo 114-0034
For those arriving by train/on foot Approximately 1-2 minutes walk from JR Saikyo Line "Jujo Station", J&MALL (J-Mall) 1F
For those arriving by bus Right in front of the Kokusai Kogyo Bus "Jujo Station" bus stop
For those arriving by car Please use a nearby coin parking lot.
Contact TEL: 03-6698-2509 / Official LINE:https://lin.ee/AL0fp3z
Call Us Official LINE Online Reservation (Priority)
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